Innovaare Compliance

APRIL 29, 2022

The Centers for Medicare & Medicaid Services (CMS) launched a new cycle of program audits in February 2022. Multiple Medicare Advantage Prescription Drug Plans (MAPDs) have already received notification of their selection. Medicare Beneficiary Identifier (MBI) has been replaced with Enrollee ID.

Regulatory Compliance 52

Regulatory Compliance Compliance Medicare Medicare 52

Innovaare Compliance

NOVEMBER 29, 2023

On October 13, 2023, the Centers for Medicare & Medicaid Services (CMS) published the Readiness List for CY 2024. This has been a very useful tool for Medicare Advantage Organizations (MAO) to check their readiness to fulfill requirements in the new contract year.

Medicare 52

Medicare Medicare Compliance Medicaid 52

Medisys Compliance

APRIL 28, 2024

Regulatory Compliance: It’s crucial to ensure any NLP system adheres to all relevant coding and billing regulations. Contact us today at 888-720-8884 / info@medisysdata.com to discuss how our expertise can streamline your billing process and free your team to focus on delivering exceptional patient care.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 64

Innovaare Compliance

JULY 20, 2023

Leveraging technology empowers health plans to strengthen their oversight capabilities, ensure regulatory compliance, and uphold high-quality care delivery through delegated entities. The post Enhancing Delegation Oversight: The Role of Technology Solutions in Health Plans appeared first on Inovaare.

Regulatory Compliance 40

Regulatory Compliance Compliance Medicaid Medicaid 40

MedTrainer

JULY 12, 2023

Regulatory Compliance. Organizations like The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA), and Occupational Safety and Health Administration (OSHA) require incident reporting and response documentation as part of regulatory compliance.

Compliance 52

Compliance Regulatory Compliance FDA Medicaid 52

MedTrainer

JULY 12, 2023

Regulatory Compliance. Organizations like The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA), and Occupational Safety and Health Administration (OSHA) require incident reporting and response documentation as part of regulatory compliance.

Compliance 52

Compliance Regulatory Compliance FDA Medicaid 52

HIT Consultant

FEBRUARY 16, 2023

Facilitating this compliance comes with a high cost. million annually on administrative activities to support regulatory compliance. Even with significant investments in administration to support compliance, overwhelmed providers can inadvertently leave gaps in security, access and credentialing systems.

Compliance 52

Compliance Hospitals Regulatory Compliance COVID-19 52

Verisys

DECEMBER 22, 2021

These include name, address, specialty, telephone, and electronic contact information. Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R. Contact us today to find out how we can help prepare you for the quickly approaching changes in 2022.

Compliance 52

Compliance Regulatory Compliance Healthcare information Technology Health Insurance 52

Medisys Compliance

APRIL 25, 2023

Need of Choosing Oncology Billing Company As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. This article will discuss key factors in choosing oncology billing company.

Regulatory Compliance 52

Regulatory Compliance Compliance ACA Medical Billing Outsourcing 52

Florida Health Care Law Firm

FEBRUARY 22, 2022

In yet another take-down of an illicit scheme to defraud the Medicare Program and ChampVA, as well as other insurers, Patsy Truglia has been sentenced to 15 years in federal prison. million from Medicare, ChampVA, and insurance using a scheme of telemarketing, telemedicine, and multiple DME providers or “store fronts.”.

Medicare 52

Medicare Medicare Telemedicine Fraud 52

Innovaare Compliance

FEBRUARY 14, 2022

Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance. This includes CMS regulations for Medicare Plans, regulations for Commercial Plans and Medicaid regulations for state plans.

Compliance 52

Compliance Regulatory Compliance Medicaid Medicaid 52

Med Com Blog

DECEMBER 14, 2021

From the payor’s perspective, every year, the Medicare Fee- for-Service program improperly pays $25B+ due to insufficient and/or incomplete documentation. For Press Inquiries Contact: Julie Brown-Georgi, (737) 263-3100. E-mail: marketing@mccremitone.com.

Compliance 40

Compliance Regulatory Compliance Medicare Medicare 40

HIT Consultant

APRIL 16, 2024

Eric Demers, CEO Madaket Health In 2022, the Centers for Medicare & Medicaid Services (CMS) proposed the creation of a centralized physician directory. Studies have consistently revealed high error rates in directory listings, with inaccuracies ranging from incorrect contact information to outdated network affiliations.

Regulatory Compliance 52

Regulatory Compliance Compliance Health Insurance Medicaid 52

MedTrainer

NOVEMBER 15, 2023

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity.

Compliance Framework 52

Compliance Framework Governance Compliance Medicaid 52

MedTrainer

AUGUST 2, 2023

Primary source verification is done by contacting educational institutions, licensing boards, and other relevant authorities. Legal and Regulatory Compliance Healthcare facilities and insurance companies are legally obligated to credential providers before allowing them to practice or join their networks.

Malpractice 52

Malpractice Due Diligence Compliance Licensing 52